Departments of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Cancer Res. 2013 Jul 1;73(13):4075-85. doi: 10.1158/0008-5472.CAN-12-4579. Epub 2013 Apr 30.
Mutations in PIK3CA, the gene encoding the p110α catalytic subunit of phosphoinositide 3-kinase (PI3K), have been shown to transform mammary epithelial cells (MEC). Studies suggest this transforming activity requires binding of mutant p110α via p85 to phosphorylated YXXM motifs in activated receptor tyrosine kinases (RTK) or adaptors. Using transgenic mice, we examined if ErbB3, a potent activator of PI3K, is required for mutant PIK3CA-mediated transformation of MECs. Conditional loss of ErbB3 in mammary epithelium resulted in a delay of PIK3CA(H1047R)-dependent mammary gland hyperplasia, but tumor latency, gene expression, and PI3K signaling were unaffected. In ErbB3-deficient tumors, mutant PI3K remained associated with several tyrosyl phosphoproteins, potentially explaining the dispensability of ErbB3 for tumorigenicity and PI3K activity. Similarly, inhibition of ErbB RTKs with lapatinib did not affect PI3K signaling in PIK3CA(H1047R)-expressing tumors. However, the p110α-specific inhibitor BYL719 in combination with lapatinib impaired mammary tumor growth and PI3K signaling more potently than BYL719 alone. Furthermore, coinhibition of p110α and ErbB3 potently suppressed proliferation and PI3K signaling in human breast cancer cells harboring PIK3CA(H1047R). These data suggest that PIK3CA(H1047R)-driven tumor growth and PI3K signaling can occur independently of ErbB RTKs. However, simultaneous blockade of p110α and ErbB RTKs results in superior inhibition of PI3K and mammary tumor growth, suggesting a rational therapeutic combination against breast cancers harboring PIK3CA activating mutations.
PIK3CA 基因编码磷酯酰肌醇 3-激酶(PI3K)的 p110α 催化亚基,其突变已被证实可使乳腺上皮细胞(MEC)发生转化。研究表明,这种转化活性需要突变的 p110α 通过 p85 与激活的受体酪氨酸激酶(RTK)或衔接蛋白中的磷酸化 YXXM 基序结合。我们利用转基因小鼠,研究了 ErbB3(PI3K 的一种强效激活物)是否是突变型 PIK3CA 介导的 MEC 转化所必需的。乳腺上皮细胞中 ErbB3 的条件性缺失导致 PIK3CA(H1047R)依赖性乳腺增生的延迟,但肿瘤潜伏期、基因表达和 PI3K 信号均不受影响。在 ErbB3 缺陷型肿瘤中,突变型 PI3K 仍与几种酪氨酸磷酸化蛋白结合,这可能解释了 ErbB3 对于肿瘤发生和 PI3K 活性的非必要性。同样,用 lapatinib 抑制 ErbB RTK 也不会影响表达 PIK3CA(H1047R)的肿瘤中的 PI3K 信号。然而,p110α 特异性抑制剂 BYL719 与 lapatinib 联合使用比单独使用 BYL719 更能抑制乳腺肿瘤生长和 PI3K 信号。此外,同时抑制 p110α 和 ErbB3 可强力抑制携带 PIK3CA(H1047R)的人乳腺癌细胞的增殖和 PI3K 信号。这些数据表明,PIK3CA(H1047R)驱动的肿瘤生长和 PI3K 信号可以独立于 ErbB RTK 发生。然而,同时阻断 p110α 和 ErbB RTKs 可导致 PI3K 和乳腺肿瘤生长的抑制作用更优,提示针对携带 PIK3CA 激活突变的乳腺癌的一种合理治疗联合方案。